Active NPI
Reymond O Barreto, PHARMD
- Pharmacist
- Monticello, NY
National Provider Identifier
1598146367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 042684
- Practice address
- 46 Thompson Square Mall
Shoprite Pharmacy
Monticello, NY 12701 - Phone
- (845) 794-0237
- NPI assigned
- Jun 17, 2015
- Last updated
- Jun 17, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 042684 | NY | Primary |
Addresses
Primary practice location
46 Thompson Square Mall
Shoprite Pharmacy
Monticello, NY 12701
Mailing address
46 Thompson Square Mall
Monticello, NY 12701-3220
Phone (845) 794-0237
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042684-1 | Other | NY | PHARMACY LICENSE NUMBER |
| 403417 | Other | NY | NABP NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042684 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shoprite Supermarkets, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Shoprite Pharmacy of Monticello
- Community/Retail Pharmacy
- Monticello, NY
- NPI 1508971383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434499200000",
"number": "1598146367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 THOMPSON SQUARE MALL",
"city": "MONTICELLO",
"state": "NY",
"postal_code": "127013220",
"telephone_number": "845-794-0237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 THOMPSON SQUARE MALL",
"address_2": "SHOPRITE PHARMACY",
"city": "MONTICELLO",
"state": "NY",
"postal_code": "12701",
"telephone_number": "845-794-0237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRETO",
"first_name": "REYMOND",
"middle_name": "O",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-17",
"last_updated": "2015-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "042684",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACY LICENSE NUMBER",
"identifier": "042684-1",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP NUMBER",
"identifier": "403417",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monticello, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.